Heel Pain

The heel is made up of the calcaneus bone and supported by a network of muscles, tendons, ligaments and soft tissues, which together support the weight of the body and stress during movement. Heel pain is a common symptom of excessive strain placed on these structures.

Causes

Heel pain can be caused by obesity, abnormal walking style, standing or walking or running on hard surfaces and wearing ill-fitting shoes. Some of the conditions related to heel pain include:

Plantar fasciitis: inflammation of the ligament that connects the heel bone to the toes

Bursitis: swelling of a bursa (fluid-filled sac) at the back of the heel

Achilles tendinitis: swelling of the Achilles tendon that connects the calf muscle and heel bone

Bone spurs: extra growth of bone

Calcaneus fracture

Haglund’s deformity: bone enlargement at the back of heel

Tarsal tunnel syndrome: compression of nerves at the back of the foot

Rheumatoid arthritis: autoimmune disease of the joints

Symptoms

Heel pain may be felt under or behind the heel, mostly during walking, jogging and running. It may be sharp and stabbing when you first stand up early in the morning or get up after sitting for long hours. Pain may also be associated with swelling, inflammation, numbness and/or a tingling sensation.

Diagnosis

The cause of the heel pain is diagnosed by studying your medical history and performing a thorough physical examination of your heel, observing and feeling for signs of swelling and tenderness. The doctor might order blood tests, and imaging studies (X-ray, CT or MRI scans) to confirm on the diagnosis.

Treatment

Treatment of heel pain completely relies on the causes. The conventional treatments are: